Cvs Pharmacy #00422

LBN: Garfield Beach Cvs Llc
Cvs Pharmacy #00422 is an health care organization with primary practice located at 4110 N 1St St , San Jose CA 95134-1513. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Garfield Beach Cvs Llc can be contacted via phone (408) 434-1839, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
4110 N 1St St San Jose CA 95134-1513
Phone: (408) 434-1839
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 51061 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1508112574
LBN Legal business name Garfield Beach Cvs Llc
DBA Doing business as Cvs Pharmacy #00422
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2012
Last updated Feb 26th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508112574 NPPES
California MEDICAID 1508112574
California Other 5644631

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